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Value-Based Care is Here to Stay: The Importance of Risk Adjustment To Provider Performance
The shift from fee-for-service to value-based care is changing not only how patients are cared for, but also how providers are measured and compensated for performance.
Tag: Merit-Based Incentive Payment System (MIPS)
Merit-Based Incentive Payment System (MIPS)
Medicare Access and CHIP Reauthorization Act (MACRA) which set up two new payment tracks, Merit-Based Incentive Payment System (MIPS) and Alternative Payment Model (APM), collectively referred to as the Quality Payment Program (QPP).
Physicians participating in MIPS will receive payment adjustments to their Medicare Part B payments based on a 100-point score. 60% of that score is comprised of quality and cost metrics, which are impacted by risk adjustment. In addition, CMS will be giving up to 5 bonus points on your final score for treatment of complex patients based upon risk adjustment.
